Petersen Ruth, Payne Patricia, Albright Jennifer, Holland Hayley, Cabral Rebecca, Curtis Kathryn M
Department of Obstetrics and Gynecology, School of Medicine, and Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7590, USA.
Contraception. 2004 Mar;69(3):213-7. doi: 10.1016/j.contraception.2003.10.007.
Healthcare providers are in a unique position to address women's risk of unintended pregnancy and sexually transmitted infections (STIs), yet evidence for effective counseling strategies is limited. One approach to developing effective contraceptive counseling methods may be the application of theory-based behavior counseling models. One such model, motivational interviewing (MI), is a promising approach for addressing risk-taking behaviors of many kinds. We propose application of MI to contraceptive counseling. This process, ESP, involves Exploring discrepancies between pregnancy intention and contraceptive use and between risk of STIs and condom use, Sharing information and Promoting behaviors to reduce risk. This model emphasizes the importance of identifying discrepancies between goals and behaviors and supporting women's confidence in using appropriate contraceptive methods
医疗保健提供者在解决女性意外怀孕和性传播感染（STIs）风险方面具有独特地位，但有效咨询策略的证据有限。开发有效的避孕咨询方法的一种途径可能是应用基于理论的行为咨询模型。一种这样的模型，即动机性访谈（MI），是解决多种冒险行为的一种有前景的方法。我们提议将MI应用于避孕咨询。这个过程，即ESP，包括探索怀孕意愿与避孕措施使用之间以及性传播感染风险与避孕套使用之间的差异，分享信息以及促进降低风险的行为。该模型强调识别目标与行为之间的差异以及增强女性使用适当避孕方法的信心的重要性。
